Managing Complex Coronary Revascularization of Acute Coronary Syndrome During Cogan Syndrome

Jacopo Giovacchini; Francesco Cappelli; Benedetta Tomberli; Flavia Caniato; Cecilia Agostini; Letizia Nicolaci; Letizia Giurlani; Pasquale Bernardo; Carlo Di Mario

doi:10.1016/j.jaccas.2024.103080

Managing Complex Coronary Revascularization of Acute Coronary Syndrome During Cogan Syndrome

JACC Case Rep. 2025 Mar 5;30(5):103080. doi: 10.1016/j.jaccas.2024.103080.

Authors

Jacopo Giovacchini¹, Francesco Cappelli², Benedetta Tomberli³, Flavia Caniato⁴, Cecilia Agostini⁴, Letizia Nicolaci⁴, Letizia Giurlani⁴, Pasquale Bernardo⁴, Carlo Di Mario⁵

Affiliations

¹ Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy. Electronic address: jacopo.giovacchini95@gmail.com.
² Cardiomyopathy Unit, Cardiothoracovascular Department, Careggi University Hospital, Florence, Italy; Cardiac Intensive Care Unit, Careggi University Hospital, Florence, Italy.
³ Division of General Cardiology, Cardiothoracovascular Department, Careggi University Hospital, Florence, Italy.
⁴ Cardiac Intensive Care Unit, Careggi University Hospital, Florence, Italy.
⁵ Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy; Division of Structural Interventional Cardiology, Cardiothoracovascular Department, Careggi University Hospital, Florence, Italy.

Abstract

Cogan syndrome, a rare multisystemic autoimmune vasculitis, can result in coronaritis and precipitate acute coronary syndrome. This paper reports a case of a young woman affected by Cogan syndrome with acute coronary syndrome due to a left main lesion and the complexities in selecting the revascularization strategy for concomitant active vasculitis.

Keywords: Cogan syndrome; acute coronary syndrome; coronaritis; percutaneous coronary intervention.

Publication types

Case Reports